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放射学报告和交流:展望未来。

Radiology reporting and communications: a look forward.

机构信息

Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA 19107, USA.

出版信息

Neuroimaging Clin N Am. 2012 Aug;22(3):477-96. doi: 10.1016/j.nic.2012.04.009.

Abstract

The content and prose method of radiology reporting has remained essentially unchanged for more than 100 years. By leveraging current technologies, the radiology report has the potential to be a multifunctional document providing information in a number of areas including business analytics, quality assurance and safety, regulatory reporting, research and billing. Maturation and adoption of speech recognition, the development of radiology controlled terminologies and standardized reporting templates now allow for the introduction of structured reporting into the clinical setting.

摘要

影像学报告的内容和写作方法 100 多年来基本保持不变。通过利用当前的技术,影像学报告有可能成为一份多功能文档,在业务分析、质量保证和安全、法规报告、研究和计费等多个领域提供信息。语音识别的成熟和采用,以及放射学控制术语和标准化报告模板的开发,现在允许将结构化报告引入临床环境。

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